Is ACO Another Name For HMO?

An ACO is not a managed care system designed by an insurance company.

That would be an HMO.

ACO stands for accountable care organization, and ACOs are part of Medicare.

What is an ACO HMO?

The Trio ACO HMO plan is powered by a new innovation in health care: the accountable care organization (ACO). An ACO is a network of doctors and hospitals that share responsibility for providing coordinated care to you and your family. The focus of our ACO network is the patient.

What is an ACO insurance?

An Accountable Care Organization (ACO) is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of care. ACOs in the United States are formed from a group of coordinated health-care practitioners.

Is ACO only for Medicare?

CMS generally attributes beneficiaries to ACOs based on their primary care provider’s affiliation with a Medicare ACO, but beneficiaries are free to seek services from any Medicare provider in or out of the ACO. Within the MSSP, the vast majority of beneficiaries are attributed to Track 1 (one-sided risk) ACOs.

Is HMO and MCO the same?

An HMO is a managed care organization (MCO) that provides health care services for those on connected insurance plans. Generally, when patients need specialized care, the PCP will provide referrals. Doctors and other health care providers may work directly for an HMO, or they may be part of a network of HMOs.